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General NPI Number Information
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NPI Number | 1669558730
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Entity Type | Individual
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Provider Name | SCARLETT DONGDUY NGUYEN O.MD;LAC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 14726 RAMONA AVE
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City | CHINO
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State | CA
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Zip | 91710-5730
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Country | US
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Telephone | 909-393-7222
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Fax |
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Provider Business Mailing Address
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Address Line | 2819 PEPPERTREE WAY
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City | POMONA
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State | CA
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Zip | 91767-1917
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Country | US
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Telephone | 909-630-8385
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 10960
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License Number State | CA
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